BOOKING FORM

PLEASE COMPLETE THIS FORM IN ORDER TO REQUEST YOUR PLACE ON LOTUS RISING RETREAT WITH MINDFUL TRIBES

Please click through to the Booking Terms and Conditions below to confirm you have fully understood your agreement with Mindful Tribes. It is a minimum requirement to take out fully comprehensive travel insurance for your retreat holiday and it is highly advisable to take out a policy when paying your retreat deposit.

Please state which option you would like for your stay. Any exclusive promotional offers will be appiled when you receive the invoice.

ROOM SHARE BUDDY

If you are travelling solo and have selected twin share, we will arrange for you to share a room. Please let us know however if there is another guest you would like to share with and we will do our best to accommodate your request.

DATE OF BIRTH *

Enter your date of birth as DD/MONTH/YEAR

EMAIL ADDRESS *

Re-enter email address *

ADDRESS *

STATE *

POSTCODE *

COUNTRY *

MOBILE PHONE *

WORK PHONE *

NEXT OF KIN *

Please enter the name of your next of kin and their relationship to you. This needs to be someone not travelling on the same retreat.

PHONE NUMBER *

HEALTH AND FITNESS. Please answer the following questions. All answers will be kept strictly confidential. You may be required to receive a fit to travel letter from your GP. Any quest over the age of 65 will require a fit to travel letter fom their GP. Please complete with details if needed. Allergies, reactions to drugs or foods

We will do our best to accommodate for food allergies and intolerances, but it cannot be guaranteed.

Regular medication taken or recent injuries

High blood pressure/heart condition

Asthma, diabetes or epilepsy

Depression, anxiety or a mental disorder

Disability, transport requirements or other medical conditions

We will do our best to accomodate where possible.

Where specifically did you hear about this Retreat? *

Please advise us of your level of yoga experience *

Would you like to be kept updated with Mindful Tribes happenings, to get sneak peaks on the latest retreats and collaborations. *

Date *

Date

MM

DD

YYYY

AGREEMENT TO BOOK MY PLACE *

By ticking YES in the box, I agree that I have read the booking Terms and Conditions and wholly agree to take part in the Retreat. It is a minimum requirement to take out travel insurance for your trip. As with all our retreat journeys, we do need to reach minimum numbers before the retreat is guaranteed.

Thank you! A Mindful Tribes wellness ambassador will be in touch shortly.

UPON RECEIPT OF YOUR BOOKING FORM YOU WILL BE EMAILED TO ADVISE IF YOUR PLACE IS CONFIRMED, ALONG WITH YOUR INVOICE DETAILING PAYMENT OPTIONS. A DEPOSIT OF $500 IS REQUIRED BY EITHER CREDIT CARD OR DIRECT DEPOSIT IN ORDER TO CONFIRM YOUR PLACE.